Automated correction of room location errors in anesthesia information management systems

Anesthesia and Analgesia
Richard H EpsteinElizabeth Piotrowski

Abstract

Anesthesia information management systems (AIMS) and operating room information management systems (ORIMS) are both used in operating rooms (OR). Anesthesia providers use AIMS to document their care in near real-time, including milestone events, and these systems automatically record vital signs from patient monitors. Circulating nurses use ORIMS primarily to document procedural information. Because of automatic documentation, AIMS would be ideal platforms for OR managerial decision support if the correct locations of cases in progress were known accurately. Trust is diminished if recommendations are poor. We compiled room location error rates from prior analyses of ORIMS data. Data from 24 consecutive 4-wk periods (45,459 cases) were analyzed from one hospital where both ORIMS and AIMS data were available. The actual location of cases was inferred from the physical location of the workstation recording the majority of pulse oximetry saturations. These were compared to the listed location in the AIMS and the final corrected location in the ORIMS. The scheduled and final ORIMS locations were compared to determine how often location changes were updated before the start of anesthesia. The location of cases was inferred in near re...Continue Reading

References

Apr 23, 2003·AORN Journal·Franklin Dexter, Richard H Epstein
May 26, 2005·Anesthesiology·Franklin DexterJohannes Ledolter
Jul 23, 2005·Anesthesia and Analgesia·Franklin DexterJohannes Ledolter
Feb 22, 2007·Anesthesia and Analgesia·Sachin KheterpalPaul E Kazanjian
Apr 20, 2007·Surgical Innovation·Marie T Egan, Warren S Sandberg

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Citations

Sep 17, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Richard H EpsteinSorin J Brull
Aug 30, 2011·Anesthesiology Clinics·Michael M VigodaJeffrey A Green
Aug 30, 2011·Anesthesiology Clinics·Richard P Dutton, Andrew Dukatz
Dec 2, 2008·Anesthesiology Clinics·Christoph B Egger Halbeis, Richard H Epstein
Jan 13, 2012·The Mount Sinai Journal of Medicine, New York·Bassam KadryJesse M Ehrenfeld
Mar 30, 2018·Anesthesia and Analgesia·Richard H Epstein, Franklin Dexter
Oct 20, 2017·Anesthesia and Analgesia·Allan F Simpao, Mohamed A Rehman
Sep 23, 2009·Current Opinion in Anaesthesiology·Stanley Muravchick
Sep 27, 2012·Anesthesia and Analgesia·Franklin DexterRichard H Epstein
Feb 27, 2017·Surgical Endoscopy·Albert Y HuangMarc Garbey
Jul 9, 2009·Current Opinion in Anaesthesiology
Dec 17, 2009·Current Opinion in Anaesthesiology

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